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NPISignal

Individual Healthcare Provider

Samantha Megan Wyckoff, MD

NPI Record: ActivePsychiatry & Neurology — Addiction Medicine
NPI1003312810
Philadelphia, Pennsylvania

Provider's NPPES record last updated: June 12, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1003312810
Primary Specialty
Psychiatry & Neurology — Addiction Medicine
Practice Location
Philadelphia, Pennsylvania
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:50 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Psychiatry & Neurology

    Addiction Medicine

    Allopathic & Osteopathic Physicians

    Primary

    A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

    Taxonomy code 2084A0401X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X

Provider-Reported License Information

Psychiatry & Neurology (Pennsylvania)
MD480318
Psychiatry & Neurology (New York)
306481-01
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

111 N 49th St

Philadelphia, Pennsylvania 19139-2718

Phone: (215) 471-2600

Record Information

Enumeration Date
April 2, 2018
Provider's NPPES Record Last Updated
June 12, 2023
Certification Date
June 12, 2023
NPISignal NPPES Dataset
August 2026

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